Ahmed Mohammed Kamal; Haitham Mostafa Elmaleh; and Mahmoud Saad Farahat
Mustafa AboEl-Soud, Ashraf El-Sebaie, Ayman Noaman
Mohamed Sabry, (M.Sc.); Ahmed Samir Hosny, M.D.MRCS (ED); Ahmed El Mahrouky. M.D. MRCS (Eng); Ahmed Gamal. M.D. MRCS (Eng)
Aly H. Mebed, 2Ahmed A. Kotb
Hany Abdel Mawla Mohamed M.Sc, Maher Abd ElMoneim M.D, Mohamed EL-Maadawy M.D.
Amr Elbahaey, Amr Abdulbaky, Hasan Soliman, Ashraf Hidayet
Mustafa AboEl-Soud, Ashraf El-Sebaie, Ayman Noaman, Tamer Mousaad
Wael L Tobar, Ahmed Abdel Moaty El Nagaar
Hany A. Balamoun MD FRCS, Mohamed Y. Aly MD MRCS, Ahmed Abd Al Aziz MD MRCS, Mahmoud Ameen MSc
Mohamed Hazem MD, Ashraf Abolfotooh Khalil MD, Sameh Elnomany MD, Amr Ibrahim Fouad MD
Ayman M. A. Ali MD. & Ahmed Gaber Mahmoud MD.
1Al-Salami A., Al- Saleh, Saleh Al-S., Al-Arami A.
1Al-Salami A., 2Mohammed A., 2Abdulelah G., 2†Bakhder I. M.
MoatasemBellah Abdel HameedErfan, Mahmoud FouadReda , Ahmad Gamal El Din Fouad , Mohammed Ali Hassan , Mohamed Hossny El Dessoki
Tarek Hegazy MD , Nader Zaki MD
Management of Superficial Femoral Artery Occlusion by Subintimal Arterial Flossing with Antegrade Retrograde Intervention (Safari) Technique Through Transpopliteal Approach
Background: The subintimal arterial flossing with antegrade-retrograde intervention (SAFARI) technique
improves technical success when initial antegrade attempts at recanalization have failed .The retrograde
approach is effective for successfull recanalization of chronic total occlusion of critical lower limb
ischemia. Aim of the work. To assess the SAFARI Technique through transpopliteal approach to improve
technical success for the performance of subintimal recanalization when there is failure to re-enter the
distal true lumen or when there is a limited segment of patent distal target artery available for re-entry.
Patients and Methods: The study was performed on 16 patients and 16 limbs with critical lower limb
ischemia for whom percutaneous transluminal angioplasty has failed from antegrade approach then
retrograde approach though transpopliteal access was used for recanalization. Results: By using SAFARI
Technique,clinical success rate after the procedure which was detected by immediate regaining of the
pulse or clinical improvement was 14 cases from 16 cases(87.5%). Conclusion: SAFARI TECHNIQUE is
an ideal line of intervention in failure of re-entry of subintimal angioplasty or limited patent distal part
of arterial tree.
Key words: SAFARI-Transpopliteal -Recanalization –ISCHEMIA.